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WELCOME TO MEDICAL ASSISTING
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How to Graduate A uniform scrub top must be worn after 4th week
no blue jeans or shorts. No flip-flops, no hats or sweaters with logos. Grade of “B” or “A” average including: CPR Bloodborne Pathogen HIPAA Proof of vaccinations including Hepatitis and Proof of TB test Attendance more than 80% in order to keep up grades Follow school and site rules, including honesty and respect of others. Completion of injection log practice (state requirement) Completion of blood pressure log showing BP practice on 20 people.
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INTRODUCTIONS Your teacher is Mrs. Brammer Lbrammer@vcoe.org
She can be reached at: Mrs. Brammer has: 14 years experience as a medical office manager Placed students in over 200 doctor’s offices. Certified Medical Assistant Certified EMT Masters’ degree in Health, BSc. in Business Teaching credential How about you? Where are you from? What do you like to do? Who lives with you?
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Chapter 1 Scope of Practice HIPAA rules Specialties Abbreviations
What we can do. HIPAA rules Release of information Specialties Abbreviations Charting SOAP Corrections Medical history Reportable diseases Anatomy
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What does an MA do? From Text page 25 chose things you would like to do most. In your work book page 1, circle 5 things you would enjoy. Read the list to your neighbor. Answer the questions in your work book on the legal scope of MA practice.
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HIPAA REGULATIONS page 4
HIPAA laws give pts control over their health information NPP = notice of privacy practices PHI = protected health information PHI includes any health information that identifies the pt. E.g.: ______________ Release of information. 4. Pts must sign a release if it is going out of the medical group Pt is moving Information given out Write 6 reasons you need a release Text Page 21
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HIPAA REGULATIONS text page 4
Pts do NOT have to sign if it is in the group and for Treatment, Payment or Operations Treatment Eg: referred to a specialist in the group Emergency treatment Tests by a lab Payment Insurance UR (utilization Review) Health care operations Quality Assurance Contacting pt with information about care training
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HIPAA practice Case study 1 page 5 Practice Quiz Specialties
Abbreviations Tx Page 40 Practice Quiz in your workbook based on page 4 of the text Complete a medical release form With a partner Complete a consent to treat form. Discussion: if your grandmother was very ill and could die, would you tell her? Why or why not? Would you like to know if you were dying? Why or why not?
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Quadrants RUQ, LUQ RLQ, LLQ
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Chart Notes – SOAP S= subjective O = objective A= Assessment P = plan
What the pt says Eg. Headache x 2 days O = objective What you see Eg bruise Temperature 100.4 A= Assessment Diagnosis P = plan What the doctor tells the pt. to do. page 29
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Chart notes parts to charting symptoms: Corrections:
What is wrong? Where it hurts When did it start? How are you dealing with it? Medications ? Sign your name, student MA Corrections: One line through it The date Your Initials The Correction No white out No scribbles Page 39
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health history Case study 2 page 27 Case study 3 page 33
Reportable diseases Anatomy Complete a health history Write symptoms under “Progress Notes” S: O: Note: Gravida = number of pregnancies Para = number of births
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